Search icon

DECATUR ORTHOPEDIC CENTER, LLC

Company Details

Entity Name: DECATUR ORTHOPEDIC CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: NGS
Date Formed: 25 Jan 2013
Company Number: LLC_04185269
File Number: 04185269
Type of Management: Member Managed
Date Status Change: 01 Jan 2025
Address 104 ASHLAND AVE, MT ZION, 62549, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECATUR ORTHOPEDIC CENTER, LLC 401(K) PLAN 2023 800896363 2024-10-14 DECATUR ORTHOPEDIC CENTER, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2178642665
Plan sponsor’s address 104 ASHLAND AVENUE, MT. ZION, IL, 62549
DECATUR ORTHOPEDIC CENTER, LLC 401(K) PLAN 2022 800896363 2023-06-08 DECATUR ORTHOPEDIC CENTER, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2178642665
Plan sponsor’s address 104 ASHLAND AVENUE, MT. ZION, IL, 62549
DECATUR ORTHOPEDIC CENTER, LLC 401(K) PLAN 2021 800896363 2022-07-27 DECATUR ORTHOPEDIC CENTER, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2178642665
Plan sponsor’s address 104 ASHLAND AVENUE, MT. ZION, IL, 62549
DECATUR ORTHOPEDIC CENTER, LLC 401(K) PLAN 2020 800896363 2021-06-01 DECATUR ORTHOPEDIC CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2178642665
Plan sponsor’s address 104 ASHLAND AVENUE, MT. ZION, IL, 62549
DECATUR ORTHOPEDIC CENTER, LLC 401(K) PLAN 2019 800896363 2020-07-10 DECATUR ORTHOPEDIC CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2178642665
Plan sponsor’s address 104 ASHLAND AVENUE, MT. ZION, IL, 62549

Agent

Name and Address Role Appointment Date
DR JACOB D SAMS, 120 SOUTHBROOKE CT, DECATUR, 62521 Agent 2013-06-24

Manager

Name and Address Role Appointment Date
SAMS M.D., JACOB D, 120 SOUTHBROOKE CT, DECATUR, IL, 62521 Manager 2023-12-26
SULLIVAN M.D., DONALD N, 4315 SANDCREEK RD., DECATUR, IL, 62521 Manager 2023-12-26

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000859 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2013-08-26 2021-10-29 2025-01-01

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State